Abstract WP471: Increasing Stroke Education Retention and Quality of Life in the Outpatient Setting

Stroke ◽  
2019 ◽  
Vol 50 (Suppl_1) ◽  
Author(s):  
Stephanie Dahl
Keyword(s):  
Quality Of Life ◽  
Outpatient Setting ◽  
Stroke Education ◽  
Education Retention

scholarly journals There and back again: analyzing the effect of outpatient readmission on the quality of life of patients attending a rheumatology clinic

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110348
Author(s):  
Alfredo Madrid-García ◽  
Isabel Montuenga-Fernández ◽  
Judit Font-Urgelles ◽  
Leticia León-Mateos ◽  
Esperanza Pato ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Outpatient Clinic ◽  
Outpatient Setting ◽  
P Value ◽  
Marginal Effect ◽  
Rheumatology Clinic ◽  
Related Quality ◽  
Health Related ◽  
San Carlos

Aims: The aim of this study was to assess the effect of “outpatient readmissions” on the health-related quality of life (HR-QoL) of outpatients from a rheumatology clinic, meaning the effect of the patient’s return to the outpatient clinic after having received care and been discharged. Methods: We conducted an observational longitudinal retrospective study, with patients selected from the Hospital Clínico San Carlos Musculoskeletal cohort, based on having received at least one discharge from the outpatient clinic and having returned (readmission) at least once after the discharge. The main outcomes were the patients’ baseline HR-QoL (measured on the first visit of each episode) and the ΔHR-QoL (difference between the HR-QoL in the last and the first visit of each episode). Successive episodes of admission and readmission were chronologically ordered, paired and analyzed using nested linear mixed models, nested by patients and by admission–readmission tandem. We carried out bivariable and multivariable analyses to assess the effect of demographic, clinical, treatment and comorbidity-related variables in both main outcomes. Results: For the first main outcome, 5887 patients (13,772 episodes) were analyzed. Based on the multivariable level, readmission showed no significant marginal effect on the baseline HR-QoL ( p-value = 0.17). Conversely, when analyzing the ΔHR-QoL, we did observe a negative and significant marginal effect ( p-value = 0.028), meaning that readmission was associated with a lower gain in the HR-QoL during the follow-up, compared with the previous episode. Conclusion: In the outpatient setting, readmission exerts a deleterious effect in patients undergoing this process. Identification of outpatients more likely to be readmitted could increase the value of the care provided.

Fifteen-minute consultation: The dizzy child

2021 ◽  
pp. edpract-2020-320569
Author(s):  
Rosa Crunkhorn ◽  
Suparna Dasgupta ◽  
Arnab Kumar Seal ◽  
Soumit Dasgupta
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Outpatient Setting ◽  
Vestibular Disorders ◽  
Significant Morbidity ◽  
Holistic Management ◽  
Paediatric Outpatient ◽  
Vestibular Pathology ◽  
Structured Approach

Vestibular disorders are often overlooked in children and may cause significant morbidity. About a third of children presenting with problems in balance show a vestibular pathology and the overall prevalence of paediatric vertigo is about 5%. Appropriate diagnosis and holistic management can have a significantly positive impact on a child’s quality of life and can be very rewarding. We present a structured approach to the assessment and management of a child presenting with dizziness in a general, non-neurological specialty or community paediatric outpatient setting.

Cognitive Behavioral Therapy for Informal Cancer Caregivers

2019 ◽  
pp. 149-163
Author(s):  
Jamie M. Jacobs ◽  
Lara Traeger ◽  
Emily A. Walsh ◽  
Joseph A. Greer
Keyword(s):  
Quality Of Life ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Outpatient Setting ◽  
Cognitive Behavioral ◽  
Healthcare Team ◽  
Loved One ◽  
Cancer Caregivers ◽  
And Coping

As cancer treatment shifts progressively to the outpatient setting, informal caregivers, including family and friends, play an increasingly central role in ensuring optimal ongoing care of these patients. Cancer caregivers may provide a range of emotional, instrumental, and informational support, including handling complex treatment schedules, managing side effects, juggling household chores and transportation, communicating with the healthcare team and friends and family, and coping with the uncertainty of their loved one’s prognosis. Cancer caregivers may become overwhelmed and burdened by these tasks, receiving minimal support and guidance related to managing distress and maintaining their own quality of life while caring for a loved one. Cognitive behavioral therapy is evidence- and skills-based therapy efficacious for patients with cancer in managing anxiety and depression and improving quality of life. This chapter reviews the application of and evidence for cognitive behavioral therapy for addressing psychosocial distress and burden in informal cancer caregivers.

scholarly journals L’INTERVENTO NUTRIZIONALE NEI DISTURBI DEL COMPORTAMENTO ALIMENTARE

2020 ◽  
Author(s):  
Maria Letizia Petroni
Keyword(s):  
Quality Of Life ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Hospital Setting ◽  
Nutritional Intervention ◽  
Outpatient Setting ◽  
Therapeutic Education ◽  
Motor Rehabilitation ◽  
Nutritional Rehabilitation

The nutritional intervention is a cornerstone of the treatment of eating disorders. Most serious cases are being treated first by parenteral and/or enteral nutrition, carefully to prevent the re-feeding syndrome that can have fatal consequences. Once patient is clinically stable, integrated intervention can be started: medical, nutritional, psychological, motor, rehabilitation and therapeutic education may take place initially in a hospital setting and then in an outpatient setting. The nutritional rehabilitation in anorexia nervosa can be conducted with the mode of the mechanical feeding or with that of desensitization of anxiety by food. Goal is the gradual normalization of weight and nutrition and improving the quality of life of the patient.

scholarly journals Quality of life and long-term mortality in patients with advanced chronic heart failure treated with intermittent low-dose intravenous inotropes in an outpatient setting

2016 ◽  
Vol 4 (2) ◽  
pp. 122-129 ◽  
Author(s):  
Fernando Chernomordik ◽  
Dov Freimark ◽  
Michael Arad ◽  
Michael Shechter ◽  
Shlomi Matetzky ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Chronic Heart Failure ◽  
Low Dose ◽  
Outpatient Setting ◽  
Long Term Mortality

scholarly journals The effects of therapeutic group singing on voice, cough and quality of life in parkinson’s disease

2021 ◽  
Vol 6 (2) ◽  
pp. 79-88
Author(s):  
Cecilia Brooks ◽  
Danielle Porter ◽  
Daniel Furnas ◽  
Judith Maige Wingate
Keyword(s):  
Quality Of Life ◽  
Repeated Measures ◽  
Outpatient Setting ◽  
Small Sample ◽  
Speaking Rate ◽  
Post Intervention ◽  
Main Effect ◽  
Pitch Level ◽  
Potential Improvement

Purpose: To examine the effect of a group therapeutic singing intervention on voice, cough, and quality of life in persons with Parkinson Disease (PD) in a community-based outpatient setting using a repeated measures design.Methods: 19 volunteer participants with PD completed the study. Ten participants participated in the intervention and nine served voluntarily as controls. Participants completed one hour group singing sessions over 12 weeks led by a music therapist. Sessions consisted of 30 min of high intensity vocal exercise and 15 to 20 minutes of group singing. Data on phonation, speech, cough, and quality of life were collected pre-intervention and one week post intervention with final data collection 12 weeks post-intervention.Results: No significant change in voice measures although 50% of participants showed improvement. A main effect was found for breathiness (p=0.023), appropriate pitch level (p=0.037) and speaking rate (p=0.009). No main effect for cough but pairwise comparisons were nearly significant pre to post intervention (p=0.053) and pre-intervention to final follow up (p=0.023). No main effect found for QOL but singing participants demonstrated better QOL scores than controls.Conclusions: Results from this small sample suggest that there are some speech benefits from singing intervention as well as potential improvement in cough for airway clearance. Additional study is needed to confirm these results.

scholarly journals Periodontitis, age-related diseases and diabetes in an endocrinological outpatient setting (PARADIES): a cross-sectional analysis on predictive factors for periodontitis in a German outpatient facility

2022 ◽  
Author(s):  
Stefan Kabisch ◽  
Oda Sophia Hedemann ◽  
Andreas F. H. Pfeiffer
Keyword(s):  
Quality Of Life ◽  
Dental Hygiene ◽  
Objective Measure ◽  
Well Being ◽  
Outpatient Setting ◽  
Cross Sectional ◽  
Age Related ◽  
Related Quality ◽  
Male Sex

Abstract Background Diabetes mellitus (DM) is a risk factor for periodontitis. Data on risk-modifying factors for periodontitis in diabetes patients are limited. Aims We tested whether sex, age, type of diabetes, metabolic state, comorbidities, complications, measures of well-being and quality of life are predicting periodontitis in a German diabetes outpatient cohort. Methods In total, 1180 out of 1293 participating DM patients completed questionnaires on quality of life, dental hygiene and health. All patients also filled out a modified version of the periodontitis risk questionnaire by the American Association for Periodontology, from which the status of “assumed periodontitis” was deducted. In a subset of participants (n = 461), we measured or inquired the most recent Community Parodontal Index (CPI), providing an objective measure for clinically diagnosed periodontitis. For all subjects, DM history and phenotype, major metabolic parameters (HbA1c, BMI, LDL and total cholesterol levels), general health risk factors, comorbidities and medication were collected. Results Clinically diagnosed (CPI > 2) and assumed periodontitis was detected in 60–67% of our patients. Male sex and oral health-related quality of life were associated with clinically diagnosed periodontitis. Male sex, age, smoking, dental hygiene, dental control and diabetes-related quality of life independently predicted assumed periodontitis. Conclusion In DM patients, quality of life and lifestyle factors which systemically alter microvascular and immunological functions seem to predict periodontitis. Further studies are needed for replication and for pathomechanistic clarification.

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